Autism & Developmental

Teaching safety skills to high school students with moderate disabilities.

Winterling et al. (1992) · Journal of applied behavior analysis 1992
★ The Verdict

A quick BST sequence with simulated then real broken dishes safely teaches high-schoolers with moderate ID to discard sharp objects.

✓ Read this if BCBAs working on safety or vocational skills in middle or high school special-ed classrooms.
✗ Skip if Practitioners serving only preschool or neurotypical populations.

01Research in Context

01

What this study did

High-schoolers with moderate intellectual disability learned to handle broken glass safely. The team used behavioral skills training: explain, model, practice, and praise. First they rehearsed with fake broken dishes. Then they practiced with real shards in the school kitchen.

Researchers tracked three skills: stop, get help, and discard safely. They measured each skill across students using a multiple-baseline design.

02

What they found

All students mastered the three safety steps after the BST package. Skills rose only after training started, showing clear control. Some students kept the skills weeks later, but maintenance was uneven.

03

How this fits with other research

Crosbie (1993) ran a direct replication the next year. The same BST package boosted social skills in deaf children with language delays. Together the two studies show the method works for different goals and diagnoses.

Bergstrom et al. (2012) later used BST to teach children with autism to seek help when lost in stores. Both papers show brief BST creates real-world safety skills, but Ryan’s team saw stronger generalization to new settings.

Ledbetter-Cho et al. (2021) also taught safety with BST, yet their preschoolers with autism first over-used the response, even with police. They added extra discrimination training. The 1992 high-schoolers did not show this overgeneralization, likely because their task was simpler: only handle broken glass.

04

Why it matters

You can teach sharp-object safety in one or two class periods. Start with fake materials, then real ones, and give plenty of praise. Check maintenance each month and re-train if needed. The same BST script also works for other safety goals like help-seeking or abduction prevention, just add discrimination probes if the response could be used wrongly.

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Run one 10-minute BST cycle: show the safe steps, let the student practice with a chipped cup, and deliver praise for correct performance.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across behaviors
Sample size
4
Population
intellectual disability
Finding
positive

03Original abstract

Teaching students with disabilities to respond appropriately to potentially dangerous situations is a useful skill that has received little research attention. This investigation taught 3 students with moderate mental retardation to remove and discard broken materials (plates, glasses) safely from (a) a sink containing dishwater, (b) a countertop, and (c) a floor. A 4th student was instructed on the sink task only. A multicomponent treatment package was used to teach the skills. Simulated materials were used initially and were replaced with broken plates and glasses. A multiple probe design was used to evaluate the effectiveness of the treatment package. The results indicated that the treatment package was effective in teaching the skills. Data were collected 1 week and 1 month following the completion of training, and indicated mixed results. No student was injured during any phase of training. Issues pertinent to teaching safety skills to students with moderate disabilities are discussed.

Journal of applied behavior analysis, 1992 · doi:10.1901/jaba.1992.25-217